Future of Nursing discussion 2 response
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After reviewing the “Nursing and
Health Reform” document I have noticed at least two standouts
that have impacted me in some way whether it be indirect or
directly. These two provisions being:
Section 5202 Nursing student loan
program—Updates the loan amounts for the Nursing Student Loan
program and after 2012 the Secretary (of the Department of Health
and Human Services) has discretion to adjust this amount based on
cost of attendance increases.
Section 5302 Training opportunities
for direct care workers—Establishes a 3-year grant program
under which an institution of higher education can subsidize
training of individuals at that institution who are willing to serve
as direct care workers in a long-term or chronic care setting for at
least two years after completion of their training.
Both provisions have played a roll in
how my place of employment has changed some of it’s business
strategies. Now with that said first and foremost I am a new
graduate nurse, have not been working for longer than a month, and I
truly still have no idea how the PPACA works of influences
healthcare corporations such as Banner Health.
What I can say that since the passing
of this bill with it’s provisions I have just noticed a couple
changes within Banner. When it comes to the first provision Section
5202. Banner Health has changed their school loan policies. Now to
enroll it is a first come first serve waiting basis and it is
dependent upon how many classes you are taking. Before at Banner you
could just apply and receive aide I believe their may have been
stipulations before but now everyone gets access but not everyone
who applies will receive it.
The second provision I mentioned
Section 5302 I believe is a great way to help new graduates become
employed however, I know Banner Health no longer does these
contracts. At least not at my facility. Now Banner has a whole new
program one that is aimed at retention and still allows new nurses
to receive training. I believe the issue with this provision that
led to Banner changing their methods was this could lead to nurse
burn out. While yes there is a contract to work for two years. These
nurses may not have truly like their place of employment and by the
time their two years were up they were just done with the nursing
profession. Thus, I believe this is what lead Banner Health to
create a new hire program that is aimed at helping train and retain
I feel as thought the PPACA has done a
lot of good and has many provisions that I believe can help many.
However, I believe there is a lot of wiggle room for corporations to
continue to do what they want to either meet the provisions or amend
them and make them better.
Affordable Care Act affects the field of nursing in various ways as
it includes a number of ambitious reforms that are based on the
employer-sponsored insurance system and establishes new requirements
for employers, healthcare providers, insurance companies as well as
the individual patients. It is anticipated to address three
key areas of access to health insurance, delivery of care and
healthcare costs. According to Blumenthal, Abrams, and Nuzum (2015),
the introduction and adoption of the Patient Protection and
Affordable Care Act was aimed at increasing access to nurses,
improving the nursing workforce, providing financial assistance to
health institution workers and education advancements and the
underserved areas. Among the provisions, increasing the number of
nurses within healthcare is a key provision which has had grant
programs established for the health institutions as well as the
training programs to address the various health care concerns. The
grant health organizations and the training programs for physicians
focus on providing personalized training to the nurses in order to
enhance the delivery of health care to patients.
to ensure that the number of nurses is sufficient, the federal loans
have been increased whose target is the nursing students to aid them
manage the education costs and successfully complete their nursing
course without financial constraints. Another key provision is the
expansion of public programs in that the ACA provides for the
extension of Medicaid to all individuals with incomes that go up to
138% of the federal poverty-level as dictated by the regulated gross
income (Frean, Gruber, & Sommers, 2017). This expansion
establishes a new minimum Medicaid eligibility-criteria level for
adults and gets rid of the program’s limitation that prohibits
adults without dependent children from registering in the program.
These provisions impact the nursing practice in a positive approach
in that it enables for nurses to advance their education which
subsequently results to decreased mortality rates and enhanced
quality of care delivery.
D., Abrams, M., & Nuzum, R. (2015). The affordable care act at 5 years.
M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the
mandate, and Medicaid expansion: Coverage effects of the Affordable
Care Act. Journal of Health Economics, 53, 72-86.
With the passage of the patient protection and affordable care act
(PPACA) in 2010 by president Obama, a lot of transformation have been
initiated into the healthcare system. The transformation brought by
this new law will have an impact on providers, consumers, insurers,
payment policy etc. The affordable care act created an influx of
patients who where previously uninsured into the healthcare. The boom
in patient activity has left many hospitals short staffed, forcing
longer wait times for patients in need of care – a potentially
dangerous problem, especially in the emergency departments where time
is of essence.
With the estimated 30 million Americans that are expected to gain
health insurance through the affordable care act (Anderson, 2014),
there will be an imbalance between demand and supply. Bradley
university (2016) estimated the supply and demand of physicians to
patients around 46,100 to 90,400. With the increase demand of
physicians and an already existing workforce shortage within the
nursing community, the policy makers recognized the need for an
increased workforce. This led to the development of provisions aimed
at increasing the number of nurses in few years. According the article
“Nursing and Health Reform”, Some of the provisions that
have impacted or will impact my nursing practice are sections 5404
– student workforce diversity grant and 5310 – Loan
repayment and scholarship program.
SECTION 5404 – STUDENT WORKFORCE DIVERSITY
GRANT: This section approves the award of grant to
eligible entities to meet the costs of special projects to increase
nursing education opportunities for individuals who are from
disadvantaged background by providing student scholarship or stipends;
stipends for diploma or associate degree nurses to enter a bridge or
degree completion program. This provision has impacted my nursing
practice as I have received some grants for this RN-BSN program.
SECTION 5310 – LOAN REPAYMENT AND SCHOLARSHIP PROGRAM:
This program offers registered nurses substantial assistance
to repay educational loans in exchange for services in eligible
facilities located in areas experiencing a shortage of nurses. Through
this program, 60% of the participant’s total qualifying loan
balance are paid for in two years and additional 25% of the original
balance for an optional third year (Benefits.gov, 2017). It
helps in recruitment and retention of professional nurses that are
dedicated to providing healthcare to underserved populations. This
provision will impact my nursing practice in the future.
Anderson, A. (2014). The Impact of the Affordable Care Act on the
Health Care Workforce. Retrieved from https://www.heritage.org
Benefit.gov (2017). Nursing Education Loan Repayment Program.
Retrieved from https://www.benefits.gov
Bradley University (2016). How the Affordable Care Act Affected
Nursing retrieved from https://www.onlinedegrees.bradley.edu
Wound Ostomy and Incontinence Nurses Society. (2013). Nursing and
Health Reform. Retrieved from https://c.ymcdn.com/sites/www.wocn.org/resource/re…